Individual
MADISON RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 PORTLAND AVE STE 400, ROCHESTER, NY 14621-3022
(585) 922-4200
(585) 922-4922
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
032375
NY
Other
Enumeration date
06/17/2024
Last updated
03/31/2026
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